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. <br />INSPECTION REPORT <br />Address �r� -3 / S � /� �I ^ �- � � t c[ � J �' <br />Contmctor ���i r r u- r3c+ (/q •' /-� <br />Owner ) a'l r� ���_-1�_ t r� [� �l- p y�--- <br />__T_ <br />TYPE OF INSPECTION REQUESTED <br />i;] BLDG: Pmt. Na �' �" !�' ❑ MECH: Pmt. No. <br />❑ ELEC' Pmt. No. O PLBG: Pmt. No. <br />�j Housing ❑ Moscnry ❑ Insulaticn <br />� ppo�{�9 ❑ Framing ❑ Groundwcrk <br />Fa foundation ❑ Dr�ro•oll Noilinfl ❑ Ccnzultohon <br />❑ Sewcr ❑ Rough-In ❑ Finol <br />❑ Fire�'�ce and Chimn:y ❑ Scrvice ❑ Other_— <br />(�,APPROVAL ❑ PARTIAL l�PPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />�] Ccrrca;ons listed below MUST BE MADE bcf,:re werk can be approved. <br />I] Wcrk listed bclow has becn inspected and approvcd. <br />�] Plcasc contoct inspcctor and arronge for appointmcnt. <br />[] Was not nbte to per(orm inspecticn. <br />❑ CALL 259-8870 FOR FEINSPECTION — 24 hcur n�.�tire re.,uired. <br />!� Cenlficote of Oeeupaney sholl be issued ond posted on the premises F��ar fo oeeuDoner• <br />---`� - � - _1 j-._ --- --- ------- — <br />�- /- �2� <br />-/� --- --�--��-,`,��C .�L'� - - <br />- -- � � <br />--- - - <br />------ � ��- -- � «-.�' _ <br />- -- t--- -_ -- � <br />�� , � <br />� -- - - <br />�� - �--- <br />� i <br />_ .�� i� ; f _ _ _. — <br />Ins�c<ti���`� }.0 r — �C�---. _ Datc��� <br />, ..;� �;4.�, <br />